DR. MARCUS (WILLIAM)W. LEE (NPI# 1457364077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457364077 |
| Entity Type | Individual |
| Full Name | DR. MARCUS (WILLIAM)W. LEE |
| Other Name | MUTIGEN LLC |
| Credential | MD |
| Practice Address |
711 Nw Atlantic St Tullahoma TN 37388-3562 |
| Mailing Address |
5833 Aedc Rd Estill Springs TN 37330-3915 |
| Practice Telephone | 9314552273 |
| Practice Fax Number | 9315637659 |
| Mailing Telephone | 9313924169 |
| Mailing Fax Number | 9313924187 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2010-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD0000035884 | TN | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 35884 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS | 4176317 | 01 |
| TN | 38748801 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083061816 | Marcus Lee | Case Manager/Care Coordinator | 6814 Angles Ave, Baton Rouge, LA 70811 | 2016-05-23 |
| 1053678870 | Marcus Lee | Dentist | 3451 E 12th St Fl 1, Oakland, CA 94601-3463 | 2012-04-18 |
| 1689993057 | Marcus Lee | Behavioral Analyst | 1330 N Classen Blvd Ste 311, Oklahoma City, OK 73106-6834 | 2010-05-25 |
| 1881248540 | Marcus Lee | Nurse Practitioner | 600 N Garfield Ave Ste 111, Monterey Park, CA 91754-1167 | 2019-07-30 |
| 1700372612 | Marcus Lee | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-07-03 |
| 1851790075 | Marcus Lee | Pharmacist | 4150 Clement St, San Francisco, CA 94121-1545 | 2014-08-14 |
| 1689870982 | Marcus Wayne Lee | Pediatrics | 3631 Bienville Blvd, Suite A, Ocean Springs, MS 39564-5702 | 2007-06-23 |
| 1730199142 | Marcus J Lee | Counselor | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2006-08-08 |
| 1689619900 | Marcus F. Lee | Emergency Medicine | 1401 Garces Highway, Delano, CA 93215-3690 | 2006-06-19 |
| Street Address |
711 NW ATLANTIC ST |
| City | TULLAHOMA |
| State | TN |
| Zip Code | 37388-3562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417940784 | Diane L Smith | Nurse Practitioner | 711 Nw Atlantic St, Tullahoma, TN 37388-3562 | 2005-08-23 |
| 1255720421 | Natalie Ann Frasier | Registered Nurse | 711 Nw Atlantic St, Tullahoma, TN 37388-3562 | 2015-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588183628 | Angela Michelle Sowers | Dietitian, Registered | 1801 North Jackson St, Tullahoma, TN 37388 | 2017-09-09 |
| 1194242669 | Haley D Stewart | Speech-Language Pathologist | Top Rehab Services, Inc, 2110 N. Jackson Street, Tullahoma, TN 37388 | 2017-08-25 |
| 1295263150 | Kelli Elaine Spencer | Nurse Practitioner | Partners for Healing, 109 West Blackwell Street, Tullahoma, TN 37388 | 2017-05-23 |
| 1932651486 | Adam Snider | Physical Therapy Assistant | 1321 Cedar Lane, Tullahoma, TN 37388 | 2016-11-01 |
| 1891240743 | Elizabeth Riddle | Nurse Practitioner | 1805 N Jackson St Ste 11, Tullahoma, TN 37388 | 2016-08-22 |
| 1720437189 | Ronda Schrimsher | Peer Specialist | 108 E Lauderdale St, Tullahoma, TN 37388 | 2016-06-07 |
| 1003298639 | Jeanetta Clark | Counselor | 1803 N. Jackson St, Centerstone of Tennessee, Tullahoma, TN 37388 | 2015-06-19 |
| 1285051698 | Ashley Mcmurtry | Physical Therapist | 2110 N. Jackson Street, Tullahoma, TN 37388 | 2014-03-24 |
| 1093150575 | Orthopedic Braces | Case Management | 206 Westside Dr, Tullahoma, TN 37388 | 2013-05-09 |
| 1427397199 | Kristina Danette Carter | Pharmacist | 104 North Jackson Street, Tullahoma, TN 37388 | 2013-01-31 |
| Find all providers in zip 37388 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356646434 | Brett L Ferrell | Family Medicine | 100 William N. Blvd, Tullahoma, TN 37388-4754 | 2011-01-20 |
| 1245363217 | Milton Adrian Smith | Family Medicine | 113 W Moore St, Tullahoma, TN 37388-3571 | 2007-03-13 |
| 1093814584 | Ian S Taylor | Family Medicine | 10054 Old Tullahoma Rd, Tullahoma, TN 37388-6122 | 2006-09-21 |
| 1326099060 | G.b. Medical Assoicates, Inc. | Family Medicine | 601 Nw Atlantic St, Tullahoma, TN 37388-3536 | 2006-05-15 |
| 1184699662 | Thomas F Phelps | Family Medicine | 1750 Cedar Ln 300, Tullahoma, TN 37388-4762 | 2006-02-20 |
| 1578558441 | Richard Clinton Cole | Family Medicine | 2106 N Jackson St, Tullahoma, TN 37388-2208 | 2005-09-15 |
| 1841800851 | Arthur Davies Md, Pllc | Family Medicine | 100 William Northern Blvd, Tullahoma, TN 37388-4754 | 2020-08-04 |
| 1396119327 | Freedom Medical Clinic Pllc | Family Medicine | 622 Wilson Ave, Tullahoma, TN 37388-3265 | 2015-11-13 |
| 1992183115 | Teresa Patterson Md | Family Medicine | 209 Wilson Ave, Tullahoma, TN 37388-3353 | 2015-05-07 |
| 1841541117 | Amg - Southern Tennessee, LLC | Family Medicine | 10054 Old Tullahoma Rd, Tullahoma, TN 37388 | 2012-09-27 |
| Find all providers in TULLAHOMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.